sample_requests.http

### Gemini followup questions
GET {{assist-pc-backend-url}}/followup-questions

### Specialist chatbot question
POST {{assist-pc-backend-url}}/ask-specialist
Content-Type: application/json

{
  "question": "What further procedures would you recommend?"
}

### Specialist chatbot question streamed
POST {{assist-pc-backend-url}}/ask-specialist-streamed
Content-Type: application/json

{
  "question": "Do any other diagnoses fit the description?"
}

### Clinical question with matched template streamed
POST {{assist-pc-backend-url}}/referral-streamed
Content-Type: application/json

{
  "question": "37F with fatigue and trembling spells, found to have low T4 (3.1) but normal TSH (0.62). On multiple medications including stanozolol and digoxin. Would appreciate guidance on interpretation of thyroid function tests and recommended next steps in evaluation",
  "clinicalNotes": "HISTORY OF PRESENT ILLNESS\nA 37-year-old white female is referred by her family physician for thyroid evaluation.\nShe has complained of trembling spells associated with feeling hot and flushed for 3 months.\nShe has noted tiredness and lack of energy for 4 months.\nHer weight has been stable during this time.\nChronic constipation has been worse recently.\nPAST MEDICAL HISTORY\nThere is no history of a goiter.\nShe has a history of chronic constipation.\nPast medical history indicates a previous hysterectomy and cholecystectomy 11 years ago,\nhereditary angioedema and a recent history of hypercholesterolemia.\nMEDICATIONS\nHer medications include 400 mg ibuprofen 3 times daily, 0.25 mg digoxin daily,\nstool softener twice daily and 2 mg stanozolol daily for angioedema.\nFAMILY HISTORY\nThere is no family history of thyroid disease.\nPHYSICAL EXAMINATION\nPhysical examination shows an obese white female who is 160 cm tall and weighs 87.7 kg.\nBlood pressure is 148/90 mmHg.\nPulse is 84/min and regular.\nShe has increased hair on her face, abdomen, arms and lower back.\nThe remainder of the physical examination is normal.\nShe does not have a goiter and her deep tendon reflexes are normal.\nLABORATORY AND OTHER PROCEDURES\nLaboratory results recently obtained by her physician included the following:\nCBC showed HCT 39%; WBC 6700/mm3 with a normal differential.\nUrinalysis showed a specific gravity of 1.005, pH 6.0, negative for glucose, protein and blood.\nChemistry profile results were as follows: Albumin 4.3 g/dL; globulins 2.4 g/dL, Ca 9.3 mg/dL; Phosphate 3.2 mmHg;\nbilirubin 0.3 mg/dL; alkaline phosphatase 90 IU/L; SGOT 33 U/L; SGPT 52 U/L; Na 143 mEq/L; K 3.9 mEq/L;\nCl 107 mEq/L;C02 24 mEq/L; BUN 12 mg/dL; Creatinine 1.0 mg/dL; Cholesterol 187 mg/dL;\n  triglycerides 312 mg/dL and glucose 117 mg/dL.\nSerum thyroxine-↓3.1 μg/dL, T3 uptake-↑56%, free thyroxine index-1.7, serum triiodothyronine- 67 ng/dL, TSH 0.62 μIU/mL."
}

### Clinical question with matched template
POST {{assist-pc-backend-url}}/referral
Content-Type: application/json

{
  "question": "37F with fatigue and trembling spells, found to have low T4 (3.1) but normal TSH (0.62). On multiple medications including stanozolol and digoxin. Would appreciate guidance on interpretation of thyroid function tests and recommended next steps in evaluation",
  "clinicalNotes": "HISTORY OF PRESENT ILLNESS\nA 37-year-old white female is referred by her family physician for thyroid evaluation.\nShe has complained of trembling spells associated with feeling hot and flushed for 3 months.\nShe has noted tiredness and lack of energy for 4 months.\nHer weight has been stable during this time.\nChronic constipation has been worse recently.\nPAST MEDICAL HISTORY\nThere is no history of a goiter.\nShe has a history of chronic constipation.\nPast medical history indicates a previous hysterectomy and cholecystectomy 11 years ago,\nhereditary angioedema and a recent history of hypercholesterolemia.\nMEDICATIONS\nHer medications include 400 mg ibuprofen 3 times daily, 0.25 mg digoxin daily,\nstool softener twice daily and 2 mg stanozolol daily for angioedema.\nFAMILY HISTORY\nThere is no family history of thyroid disease.\nPHYSICAL EXAMINATION\nPhysical examination shows an obese white female who is 160 cm tall and weighs 87.7 kg.\nBlood pressure is 148/90 mmHg.\nPulse is 84/min and regular.\nShe has increased hair on her face, abdomen, arms and lower back.\nThe remainder of the physical examination is normal.\nShe does not have a goiter and her deep tendon reflexes are normal.\nLABORATORY AND OTHER PROCEDURES\nLaboratory results recently obtained by her physician included the following:\nCBC showed HCT 39%; WBC 6700/mm3 with a normal differential.\nUrinalysis showed a specific gravity of 1.005, pH 6.0, negative for glucose, protein and blood.\nChemistry profile results were as follows: Albumin 4.3 g/dL; globulins 2.4 g/dL, Ca 9.3 mg/dL; Phosphate 3.2 mmHg;\nbilirubin 0.3 mg/dL; alkaline phosphatase 90 IU/L; SGOT 33 U/L; SGPT 52 U/L; Na 143 mEq/L; K 3.9 mEq/L;\nCl 107 mEq/L;C02 24 mEq/L; BUN 12 mg/dL; Creatinine 1.0 mg/dL; Cholesterol 187 mg/dL;\n  triglycerides 312 mg/dL and glucose 117 mg/dL.\nSerum thyroxine-↓3.1 μg/dL, T3 uptake-↑56%, free thyroxine index-1.7, serum triiodothyronine- 67 ng/dL, TSH 0.62 μIU/mL."
}

### Clinical question without matched template
POST {{assist-pc-backend-url}}/referral
Content-Type: application/json

{
  "question": "I have a 68-year-old male with persistent microcytic anemia. Hgb 9.8 g/dL, MCV 76. Iron studies show low ferritin (15 ng/mL) despite no evidence of overt bleeding. He has intermittent epigastric pain. Is endoscopic evaluation indicated before iron supplementation or can we start iron and monitor response?",
  "clinicalNotes": "SUBJECTIVE: 68yo M returns for follow-up of anemia. First noted 3 months ago. Denies any visible blood in stool or melena. Reports occasional epigastric discomfort, worse with spicy foods, better with OTC antacids. No NSAID use. No weight loss, night sweats, or fatigue. Last colonoscopy 8 years ago was normal. No family history of GI malignancy. \n\n  OBJECTIVE:\n  Vitals: BP 132/78, HR 88, Weight stable at 78kg\n  CBC: Hgb 9.8 g/dL (was 10.2 g/dL 3 months ago, 13.8 g/dL 1 year ago)\n  MCV 76 fL (80-100)\n  WBC 7.2, Platelets 245\n  Iron studies: Ferritin 15 ng/mL (30-400), Transferrin saturation 8% (15-50%)\n  TIBC 410 mcg/dL (250-370)\n  Reticulocyte count 1.1%\n  Fecal occult blood testing: Negative x3\n\n  ASSESSMENT/PLAN: Microcytic anemia, likely iron deficiency. Consider GI workup vs empiric iron supplementation. Will discuss with patient."
}

### Clinical question without matched template streamed
POST {{assist-pc-backend-url}}/referral-streamed
Content-Type: application/json

{
  "question": "I have a 68-year-old male with persistent microcytic anemia. Hgb 9.8 g/dL, MCV 76. Iron studies show low ferritin (15 ng/mL) despite no evidence of overt bleeding. He has intermittent epigastric pain. Is endoscopic evaluation indicated before iron supplementation or can we start iron and monitor response?",
  "clinicalNotes": "SUBJECTIVE: 68yo M returns for follow-up of anemia. First noted 3 months ago. Denies any visible blood in stool or melena. Reports occasional epigastric discomfort, worse with spicy foods, better with OTC antacids. No NSAID use. No weight loss, night sweats, or fatigue. Last colonoscopy 8 years ago was normal. No family history of GI malignancy. \n\n  OBJECTIVE:\n  Vitals: BP 132/78, HR 88, Weight stable at 78kg\n  CBC: Hgb 9.8 g/dL (was 10.2 g/dL 3 months ago, 13.8 g/dL 1 year ago)\n  MCV 76 fL (80-100)\n  WBC 7.2, Platelets 245\n  Iron studies: Ferritin 15 ng/mL (30-400), Transferrin saturation 8% (15-50%)\n  TIBC 410 mcg/dL (250-370)\n  Reticulocyte count 1.1%\n  Fecal occult blood testing: Negative x3\n\n  ASSESSMENT/PLAN: Microcytic anemia, likely iron deficiency. Consider GI workup vs empiric iron supplementation. Will discuss with patient."
}

### Remote clinical question with bad question
POST {{assist-pc-backend-url}}/referral-streamed
Content-Type: application/json

{
  "question": "Patient with fevers. Please advise.",
  "clinicalNotes":"SUBJECTIVE: 34yo F with no significant PMH presents with 8 days of fever, max temp 102.4F. Associated symptoms include sore throat, dry cough, myalgias, and fatigue. Denies shortness of breath, chest pain, rash, or abdominal pain. No recent travel or known sick contacts. Works as elementary school teacher. Vaccinated against influenza and COVID-19. No antibiotic use in past 3 months.OBJECTIVE: Vitals: Temp 100.8F, HR 92, RR 18, BP 118/72, SpO2 98% RAPhysical Exam: Mild pharyngeal erythema without exudates. No cervical lymphadenopathy. Lungs clear. No rash notedLabs: WBC 5.4 (normal diff), Hgb 13.8, Plt 192BMP unremarkableRapid strep: NegativeCOVID-19 PCR: PendingChest X-ray: No acute findingsASSESSMENT/PLAN: Viral syndrome vs. early bacterial infection. Advised supportive care. Will follow up COVID test. Discussed return precautions."
}